Doctor insights on:
Depends on cervix: Before induction your current cervical exam is used as a determinant for which mode of induction. Cervidil is most likely used when the cervix is less soft, dilated, and effaced (thinned out), and more posterior, as it increases prostaglandins release to stimulate dilation, thinning and softening. Those who are already dilated and effaced benefit more from pitocin (oxytocin). ...Read more
Yes: Instrument deliveries are another name for "forceps-assisted" deliveries. There are countless number of "horror stories" regarding forceps deliveries, but the truth is forceps deliveries, in the hands of well-trained obstetricians, have saved the lives of millions of mothers and babies in distress. ...Read moreSee 1 more doctor answer
Pitocin (oxytocin): Pitocin (oxytocin) is what your own body makes to help you squeeze out a baby. It helps increase the effectiveness of the contractions. Drs can add a supplement to assist labor & at proper doses it speeds the process.Babies can grow well during pregnancy with a cord/placenta that in not healthy enough to endure the stress of labor(leading to a distress pattern) nurses can stop added pit but not what u make. ...Read more
Regional anesthesia: Regional anesthesia is extremely safe and commonly used during labor and delivery. At my institution the epidural rate is nearly 90%. We are careful to use as low doses of local anesthetic and opioid combinations. The common effects seen are decreased sensation and motor strength in the lower extremities (expected) and occasionally a decreased blood pressure (also expected) which we treat prn. ...Read moreSee 3 more doctor answers
Acog released study re some adverse outcomes of use of pitocin (oxytocin) in labour augmentation. How worrisome is this for those of us who had pitocin (oxytocin) used?
Pitocin (oxytocin) has been : Used for years and continues to be used if it is used properly it is very safe I use it on almost all of my inductions and to augment labor without inducing and augmenting my patients many could have ended up with problems, some doctors abuse and do not use Pitocin (oxytocin) properly ( not too many) in those cases it can cause problems, Pitocin (oxytocin) has saved many of my pts from c-section have done 5000+delivery. ...Read more
Minor and safe: Significant risks are very uncommon: infection, allergic reactions, and uterine perforation estimated at much less than 1% and i personally have never seen in 20 years. Small bleeding afterwards and cramping are fairly common, taking Ibuprofen an hour before the procedure is effective for most women. X-ray exposure is negligible and safe within established limits. ...Read more
As with any surgery.: Supracervical hysterectomy means removal of the uterus above the cervix. Da vinci is a tool that allows difficult surgeries to be done through small incisions. Complications of any surgery involve, bleeding, infection, organ injury, and anesthetic risks. None of these are common in the hands of an experienced surgeon and team. ...Read more
THAT DEPENDS: On the training and your stituation and if the midwife delivers in the hospital and has the proper backup provided by a board certified obgyn who can respond quickly in an emergency situation. I have worked with some very good midwives and shortly with some bad ones. My patients go to me because I do all of my own deliveries and they know that I am trained to take care of a problem. ...Read more
Can the drug pitocin (oxytocin) - used to induce and augment labor cause an overreaction requiring c section?
Pitocin (oxytocin): Pitocin (oxytocin) is what your body makes.It helps increase the effectiveness of contractions.Drs can add a pit to assist labor & at proper doses it speeds the process.Babies can grow well during pregnancy with a cord/placenta that in not healthy enough to endure the stress of labor(leading to a distress pattern) nurses can stop added pit but not what u make.Distressed babies need to be delivered asap. ...Read more
Any side effects of betamethasone injections in pregnancy? Had celestone shots at 34 weeks for risk of preterm delivery?
Ok: Many studies have shown that it is safe and it helps in development of baby's lungs. ...Read more
For baby's lungs: Steroids given to a woman if she is suspected of going into labor prematurely is to help with the development of her baby's lungs, which are among the last organs to develop. By doing so, it can help prevent complications in the baby after delivery and hopefully prevent or shorten NICU stays. Hope that helps! ...Read more
Risk vs reward: nifedipine has been shown in small trials to be useful as a tocolytic (stop uterine contractions and thus labor) and is used when traditinal medications fail. the side effects can range from mild dizzyness to hypotension and near fainting. It can also cause swelling , constipation,headaches, and reflex tachycardia(fast heart rates). as always discuss options with your doctor . ...Read more